Van de Heyning P H, Koekelkoren E, Vanmaele R G, Claes J, Valcke H D
Universitaire Dienst NKO en Hoofdhalsheelkunde, Universitair Ziekenhuis Antwerpen, Edegem, België.
Acta Chir Belg. 1989 Nov-Dec;89(6):301-4.
The high incidence of oto-vestibular complaints in patients presenting vertebro-basilar insufficiency (VBI) is emphasized. In some studies up to 90% of the patients are complaining from dizziness, oscillopsia or tinnitus. The indications of the oto-vestibular evaluation and its importance in the diagnosis of VBI is discussed. The authors lay stress on the fact that the Romberg test is not valuable as a vestibular functional screening test, but that only a full oto-vestibular evaluation will contribute to the diagnosis of VBI.
椎基底动脉供血不足（VBI）患者中，耳前庭相关主诉的高发病率得到了强调。在一些研究中，高达90%的患者抱怨有头晕、视振荡或耳鸣症状。本文讨论了耳前庭评估的指征及其在VBI诊断中的重要性。作者强调，罗姆伯格试验作为一种前庭功能筛查试验并无价值，只有全面的耳前庭评估才有助于VBI的诊断。
